22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 PROGRAMS. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES.
Technical Assistance:
Discussed physical plant, rest time, toy cleaning and staff emergency contact addresses.
Comments:
An unannounced monitoring inspection was conducted on February 25, 2020. At the time of entrance there were 63 children and 14 staff members present with children. There were additional staff on site for program support and administrative purposes. The sample size consisted of 6 children's and 5 staff records. Children were observed waking up from nap time, diapering, participating in puzzle activities, eating snack and during story time. Five medications were reviewed. The inspection began at approximately 2:00 pm and ended at approximately 4:45 pm. Areas of non-compliance are identified on the violation notice. The results of the inspection and the violations cited were reviewed and verified with the center director during the exit interview. Please contact the licensing inspector with any questions (757)439-6816.
Based on review, facility did not ensure 4 of 6 staff records has documentation of required information.
Evidence: The records for staff #1 (start date February 20, 2020) was missing two required reference checks.Staff confirmed there was not references in the record.
Plan of Correction:
Director will contact references in the missing section fir the employee.
Standard #:
22VAC40-185-260-B
Description:
Based on record review and staff interview, the licensee did not ensure a annual health inspection was completed.
Evidence: The most recent inspection documentation was 10/17/2018. This is more than a year old.
Plan of Correction:
Contacted health department spoke with the inspector. The inspector misplaced the report and will be out on 2/17/20 and issue a new one.
Standard #:
22VAC40-185-500-A
Description:
Based on observation, the licensee did not ensure the staff wash their hands with soap and running water after diaper change, after the staff member uses the toilet, after any contact with body fluids, and before feeding or helping children with feeding.
Evidence: In the toddler classroom, the staff did not wash hands after diapering . Staff confirmed she wore gloves when changing but did not wash her hands after diaper changing.
Plan of Correction:
Director spoke to staff member and walked them through the proper diapering procedures. Reminded them of how important it is to wash hands.
Standard #:
22VAC40-185-500-B
Description:
Based on observation and staff interview, the licensee did not ensure the diapering surface was cleaned with soap and at least room temperature water and sanitized after each use.
Evidence: In the infant room , staff sprayed soap and water and bleach in water at the same time on the diapering surface and immediately wiped it off. In the 2 year old classroom, the staff was observed cleaning the diapering surface with soap and water and bleach and water separately and staff stated she wiped after a few seconds . Confirmed with the staff. The center did not have the bleach and water solution to air dry 2 minutes before wiping.
Plan of Correction:
Director reminded staff on the amount of time to wait after spraying the surface .Director walked the staff through the process.
Standard #:
22VAC40-185-510-N
Description:
Based on record review and staff interview, the licensee did not ensure when medication authorization form expires, the parent was notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.
Evidence: Child #1 medication authorization form expired on 5/20/2019 the medication was in the center on 02/25/2020. It was more than 14 days since the authorization form expired.
Plan of Correction:
Director returned medicine to the parent
Standard #:
22VAC40-185-550-D
Description:
Based on record review and staff interview, the licensee did not ensure there was evacuation drills practice monthly.
Evidence: A evacuation drill was not completed for the month of January 2020. Confirmed with the director.
Plan of Correction:
Director performed the drill on 2/27/2020
Standard #:
22VAC40-185-570-E
Description:
Based on observation and staff interview, the licensee did not ensure the infant formula is refrigerated, dated and labeled with child's name.
Evidence: In the infant room, there was two infant formula not dated and one infant formula was not labeled with name.
Plan of Correction:
Spoke to staff about the proper procedure.
Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.
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